CMS Price Transparency Data

Family therapy session

Facility: Genesis Hospital

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $250
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Genesis Hospital is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.38x the Medicare baseline. Located in 2951 Maple Avenue, Zanesville, OH.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$250

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $252 (139%)
Insurance Median: $250 (138%)
Cash: $252 (139% of Medicare)
Ins. Median: $250 (138% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Select Specialty Hosp Of Se Oh (Alternate) [9991013222] $193 106%
Select Specialty Hospital Of Southeast Ohio [1013222] $193 106%
Medical Mutual Marketplace [111107] $198 109%
Compass Rose Health Plan [10011209] $244 135%
United Medical Resources [100153] $244 135%
UnitedHealthcare $244 135%
Bac [1001100] $250 138%
Benefit Services [100114] $250 138%
Central States [100118] $250 138%
Ebmc [100119] $250 138%
Ebs Of Ohio [1001108] $250 138%
Employee Benefits [100120] $250 - $357 138%
Enterprise Group Planning [1001171] $250 138%
Healthscope [100117] $250 - $265 138%
Healthsmart Benefit Solutions [1001161] $250 138%
Ibew Local [1001168] $250 138%
Medical Benefits [100128] $250 138%
Mmo [100129] $250 138%
Mutual Health Services [10011205] $250 138%
Reserve National [1001128] $250 138%
Self Funded Plans [100134] $250 138%
Upmc Health Plan [10011202] $250 138%
Western Southern Financial Group [100190] $250 138%
Aetna $265 146%
Allied Benefit [100193] $265 146%
Assurant Health [100198] $265 146%
Chesterfield Resources [1001166] $265 146%
Coventry Health Care [1001106] $265 146%
Employee Benefit Management Services [1001163] $265 146%
Generic Meritain [1001119] $265 146%
Healthsmart Payors Organization [1001116] $265 146%
Meritain [1001118] $265 146%
Nippon Life Benefits [1001169] $265 146%
Starmark [1001130] $265 146%
Trustmark [1001134] $265 146%
Healthplan Upper Ohio Valley [10017] $328 181%
Thp Insurance Company [10045] $328 181%
Woodmen Assured Life [100171] $328 181%
Generic Usa Network [1001114] $357 197%
Key Benefit Administrators Inc [10011207] $357 197%
Multiplan [1001120] $357 197%
Ohio Healthy [1001179] $357 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2951 Maple Avenue, Zanesville, OH 43701
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals